11828 (RC)P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 78-908 Hwy 111 LA QUINTA, CALIFORNIA 92253
Owner
Clot .aesti.me
BUILDING: TYPE CONST
OCC: GRP.
1.1828
Address 5325 Fest Hunter Ave. A.P. Number
City .Zip Tel.
Aaeheia, Vii. 92307 {71$}''�79^Sf38 Legal Description '
Contractor Retail. Tennant improvement
oesilaxt Cities meyelop �ei<1 Project Description
Address.
39-725 , Garend Ln. Unit B
P3la'tl :desert, Cii 1p 92260 Tel
State Lic. y, ` City
& Classif. ; 6202-42 B-1 Lic. # ' 2108
Arch., Engr.;
Designer Ciot' hestize Axch.. Dept.
Address , I Tel.
City (Zip (State
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that-l'am licensed finder provisions Of C apter 9 (commencing with �4ection
7000) of Divisionf3 of t e Businesst nclPrrofessssii�dns Co d"rimy license is in fuJ f rce a
effect. r4: 11471 �_4yy
SIGNATURE / b DATE
jor,' OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city orjcounty which requires a
permit to construct, alter, improve, demolish, or repair any structure, I prior to its issuance also
requires the ipplicani`for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that, he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
O I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such Improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company -
0 Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars IS 100), valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE'TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
9
I t
.t V 1,, t10 tt I e y i k*fy u'�• r, r
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR ,
Issued by: Date Permit
Validated by:
Validation:
Sq. Ft.
Size
�No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$70.,'000.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
s 3ti. X35
Const.
5V9 OU -
Mech.
Electrical
30. 00
Plumbing
.S.M.I.
'
Grading
Driveway Enc.
Infrastructure
TOTAL
2 • ! b
REMARKS
.t V 1,, t10 tt I e y i k*fy u'�• r, r
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR ,
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
SETBACK
GROUND PLUMBING
UNDERGROUND
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
ROUGH PLUMB.
BONDING
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
SEWER OR SEPTIC TANK
ROUGH WIRING
DRAINAGE PIPING
CAR P. SO. FT. ®
FOUND. REINF.
GAS (ROUGH)
WALL SO. FT. ®
HEATING (FINAL)
DRINKING FOUNTAIN
SO. FT. ®
GAS (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SERVICE
FLOOR DRAIN
MECHANICAL FEES
BOND BEAM
WATER SOFTENER '
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUS'ENDED
FINAL INSP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH[ TUB
CERT. OCC.
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
GARDEN WALL FINAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE
PLUMBING
ELECTRICAL
HEATING & AIR COND.
SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
0VStAr—~RRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
AT JOB SITE WITH AN APPROVED
SET OF PLANS
Owner—CA
Date C2
(Issued)
D /
0
c
Location
J
Case No.�
Sprinkler Company
Underground Static
Date Inspector
Overhead Static
Date Inspector
Date /Inspector
f ;12 iy�jf c'
ina
Date Inspector
Fire Main Installer
Underground Static
Date Inspector
Final
Date Inspector
Hood/Duct Installer
Final _
Date Inspector
'
Alarm Installer
Final
Date Inspector
Tank Installer
Final . i Date ) Inspector
FINAL for OCCUPANCY
/ In;ped j
Date
a
s CITY OF LA OUINTA
�•OF DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246CI Tyu�
24-HOUR NOTICE FOR INSPEU*ITq
199.1
Owner
Clothestime
Contractor Desert Cities Developmen
fff
Permit Number 11828
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-900 Hwy 111
Retail Tennant Improvement
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND W R
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH PLUMBINGv
ROUGH GAS & GAS TEST
HEATING & VENT- A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING / 1 /J - r 2 e� T I A91.tet'
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH '
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
L
CLrl, I MIUAL
PLUMBING i
FINAL GAS TEST s
HEATING -A/C
HOUSE NUMBERS
JOB COMPLETED
4.88
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
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This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For'- the following:.
BUILDING ADDRESS 78-900 Hwy 1.11
Use Classification Retail Bldg. Permit No. 11828
Group R2 Type Construction VN Fire Zone Use Zone rpg
Owner of Building Clothestime address 5235 East Hunter Ave.
Anaheim, CA 92807~
City Richard Kirkland
By.
Dote: March 23, 1993
Building Official POST IN A CONSTICUOUS PLAC[
-